Healthcare Provider Details

I. General information

NPI: 1982519955
Provider Name (Legal Business Name): MELANIE JEAN CIUCCI LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/15/2026
Last Update Date: 08/15/2026
Certification Date: 08/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 E OGDEN AVE STE 101
NAPERVILLE IL
60563-3264
US

IV. Provider business mailing address

930 MIDDLETON AVE
LISLE IL
60532-1386
US

V. Phone/Fax

Practice location:
  • Phone: 331-444-2342
  • Fax:
Mailing address:
  • Phone: 630-666-0835
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number149.023651
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: